Evidence map›Paper›PMID 29038833›Full record

ArticleInternational urogynecology journal2018

Tips and tricks for uterosacral ligament suspension: how to avoid ureteral injury.

Stefano Manodoro, Matteo Frigerio, Rodolfo Milani, Federico Spelzini

Registry-linked trialAbstract readVideo-Audio Media
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07413861 (Vaginal Natural Orifice Transluminal Endoscopic), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07413861 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Vaginal Natural Orifice Transluminal Endoscopic (vNOTE) Hysterectomy With Uterosacral Suspension

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2026 to 2027Enrolled50ConditionsProlapse Pelvic, HysterectomyArmsUterosacral suspension, Hysterectomy by vNOTES approach
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  6. Coexisting overactive-underactive bladder and detrusor overactivity-underactivity in pelvic organ prolapse.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Article
  7. Native-tissue prolapse repair: Efficacy and adverse effects of uterosacral ligaments suspension at 10-year follow up.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Article
  8. Article
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  11. Article
  12. Iatrogenic ureteral injury after gynecological surgery.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019
    Review
  13. Transvaginal native-tissue repair of enterocele.International urogynecology journal · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Stefano ManodoroAUSL della Romagna - Ospedale Infermi, Rimini, Italy. stefano.manodoro@gmail.com.ORCID 0000-0002-1837-0806
Matteo FrigerioUniversità degli Studi di Milano-Bicocca, Milan, Italy.
Rodolfo MilaniUniversità degli Studi di Milano-Bicocca, Milan, Italy.
Federico SpelziniAUSL della Romagna - Ospedale Infermi, Rimini, Italy.
Azienda Ospedaliera San Gerardo · ITOspedale Infermi di Rimini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisUterosacral ligament (USL) suspension is an effective and versatile surgical technique for repairing pelvic organ prolapse. However, ureteral injury is a feared complication that may act as a significant deterrent to the use of USL suspension. The aim of the video is to provide key steps to minimize the risk of ureteral injury while achieving successful transvaginal USL suspension.

methodsThe featured video provides a series of surgical tips and tricks that can be applied to protect the ureters while achieving USL suspension whether the procedure contemplated is vaginal hysterectomy, vaginal vault repair after hysterectomy, or hysteropexy.

resultsThe tips and tricks are classified into four categories: identification of the USLs, identification of the ureters, passage of the sutures, and final measures.

conclusionsThe USL suspension technique requires adequate surgical training and an understanding of pelvic anatomy. This tips and tricks video tutorial may be an important tool for improving surgical know-how, and thus for reducing the risk of ureteral injury. In particular, identification of the USLs and ureters, proper suture positioning and final cystoscopy are key points to minimize ureteral damage.

Indexed as

Video RecordingFemaleGynecologic Surgical ProceduresHumansLigamentsPelvic Organ ProlapsePostoperative ComplicationsSuture TechniquesUreterVaginaApical suspensionComplicationsPelvic organ prolapseTips and tricksUreteral injuryUterosacral ligament

Identifiers

PMID29038833
OpenAlexW2765621170

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.